小儿体外循环期间的神经认知监测与护理——现状与未来方向
Neurocognitive monitoring and care during pediatric cardiopulmonary bypass-current and future directions.
作者信息
Lee Jennifer K, Blaine Easley R, Brady Kenneth M
机构信息
Departments of Anesthesiology/Critical Care Medicine and Pediatrics, Johns Hopkins Medical Institutions, Baltimore, MD, USA.
出版信息
Curr Cardiol Rev. 2008 May;4(2):123-39. doi: 10.2174/157340308784245766.
Neurologic injury in patients with congenital heart disease remains an important source of morbidity and mortality. Advances in surgical repair and perioperative management have resulted in longer life expectancies for these patients. Current practice and research must focus on identifying treatable risk factors for neurocognitive dysfunction, advancing methods for perioperative neuromonitoring, and refining treatment and care of the congenital heart patient with potential neurologic injury. Techniques for neuromonitoring and future directions will be discussed.
先天性心脏病患者的神经损伤仍然是发病和死亡的重要原因。手术修复和围手术期管理的进展使这些患者的预期寿命延长。当前的实践和研究必须集中于确定可治疗的神经认知功能障碍风险因素，改进围手术期神经监测方法，以及完善对有潜在神经损伤的先天性心脏病患者的治疗和护理。将讨论神经监测技术及未来发展方向。
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